person
Mr. Michael Poulsen, RN
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1477094332

Michael Poulsen is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Michael Poulsen practices in Mishawaka, IN and has the professional credentials of RN. The NPI Number for Michael Poulsen is 1477094332 and holds a License No. 71007577A (Indiana).

The current practice location address for Michael Poulsen is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-335-5000. You can also correspond with Michael Poulsen through the mailing address at 707 CEDAR ST STE 405, SOUTH BEND, IN - 46617-2059 (mailing address contact number: 574-335-8707).

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2059
person
Provider Profile Details
NPI Number
1477094332
Provider Name
Michael Poulsen
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2059
Phone Number
574-335-5000
Fax Number
Provider Enumeration Date
03/13/2017
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102507908 01 IN ANTHEM
300007316 05 IN
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
State
Zip
46545-1469
Phone Number
574-335-5000
Fax Number
person
Provider Business Mailing Address Details
Address
5215 Holy Cross Pkwy
City
State
Zip
46545-1469
Phone Number
574-335-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71007577A (Indiana)
Definition
Definition to come...
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